MR. REINO ARNOLD HENDERSON (NPI# 1164487146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164487146 |
| Entity Type | Individual |
| Full Name | MR. REINO ARNOLD HENDERSON |
| Credential | PA-C |
| Practice Address |
10301 Kanis Rd Little Rock AR 72205-6205 |
| Practice Telephone | 5016046900 |
| Practice Fax Number | 5016043220 |
| Mailing Telephone | 5016046900 |
| Mailing Fax Number | 5016043220 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2015-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 4995 | AZ | Chiropractic Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2904 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA252 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2904 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA252 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10301 KANIS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777647 | Herbert L Hahn | Orthopaedic Surgery | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2005-08-17 |
| 1851858377 | Megan Nalley | Occupational Therapist | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2019-02-21 |
| 1861915233 | Kaitlyn A Griffin | Nurse Practitioner | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2017-07-18 |
| 1629511977 | Jessica Wilson | Specialist/Technologist | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2016-11-18 |
| 1326490798 | Lauren Dymna | Physical Medicine & Rehabilitation | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2016-07-08 |
| 1144617465 | Michael Mcconnaughhay | Orthopaedic Surgery | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2015-04-24 |
| 1225436207 | Douglas Brent Phillips | Specialist/Technologist | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2014-12-08 |
| 1790115459 | Sydney Lauren Bishop | Physical Therapist | 10301 Kanis Rd, Attn: Physical Therapy Department, Little Rock, AR 72205-6205 | 2013-11-16 |
| 1730428483 | Audie Kwon Partain | Physician Assistant | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2013-01-31 |
| 1548525504 | Chelsey Morgan Schramm Trout | Physician Assistant | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2012-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1326038035 | Douglas A. Clark | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2005-10-25 |
| 1205826187 | Dallas M Bondhus | Physician Assistant | 9600 Baptist Health Dr Ste 320, Little Rock, AR 72205-6322 | 2005-10-24 |
| 1679173645 | Tristan Jenkins | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-29 |
| 1962019182 | Houston Cotton | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-30 |
| 1033750898 | Susan Brooke Contois | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2019-10-03 |
| 1023575420 | Faith Marquardt | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-22 |
| 1083170807 | Caleb Brett Mason | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2019-02-17 |
| 1043776099 | Lauren Abigail Rainwater | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-14 |
| 1457815755 | Audra Anne Nosal | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2019-01-31 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MR. REINO ARNOLD HENDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.